Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Easton Hallock, CADCII, QMHAII

Individual provider Peer Specialist · NPI 1467220236

Easton Hallock, CADCII, QMHAII is a Peer Specialist in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023
Specialties on file
3

Practice location Address checks out

1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770
Phone: (503) 866-0877
Fax: (503) 771-2436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Peer Specialist Taxonomy 175T00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 24-07-20450 (OR)

Record details

NPI number1467220236
Entity typeIndividual (Type 1)
GenderMale
Credentials CADCII , QMHAII
Sole proprietorNo
NPI enumeratedDecember 12, 2023
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

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